Patients who undergo breast reduction surgery are either seeking relief from physical symptoms caused by excessive weight of large breasts or desire to have smaller, more proportionate and lifted breasts. Breast reduction surgery may be able solve these problems, possibly making your breasts lighter and more comfortable; allowing clothes to fit better.
You may be a good candidate for breast reduction surgery if you have one or more of the following conditions:
- Breasts that are too large in proportion to your body
- Heavy, pendulous breasts with nipples and areolas that point downward
- One breast is much larger than the other
- Back, neck or shoulder pain caused by the weight of your breasts
- Skin irritation beneath your breasts
- Indentations in your shoulders from tight bra straps
- Restriction of physical activity due to the size and weight of your breasts
- Self consciousness about the large size of your breasts
Breast reductions can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breastfeeding may have significant and unpredictable effects on the size and shape of your breasts. Many women, however, decide to undergo breast reduction before having children and feel they can address any subsequent changes later. During your consultation, you will be asked about your desired breast size as well as anything else about your breasts that you would like to see improved. This will help Dr. Minniti to understand your expectations and determine whether they realistically can be achieved.
You should come prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries, and medications that you currently take. You should tell Dr. Minniti if you plan to lose a significant amount of weight, particularly if you have noticed that your breasts become smaller with weight loss. Dr. Minniti will examine your breasts, taking measurements and photographs. The size and shape of your breasts, the quality of your skin, and the placement of your nipples and areolas will be carefully evaluated.
Insurance coverage is sometimes available for breast reduction surgery. Many factors determine your eligibility, including the specific terms of your insurance policy and the amount of breast tissue to be removed. A letter of predetermination may be required by your insurance company prior to surgery. Although insurance coverage is still available for this procedure, Dr. Minniti no longer accepts this insurance.
The most common method of reducing the breasts involves three incisions: one around the areola, one that runs vertically from the areola to the bottom of the breast at its crease, and one that runs along the crease.
After Dr. Minniti reduces excess breast tissue, fat, and skin, the nipple and areola are shifted to a higher position, and the areola is usually reduced in size. The nipple and areola usually remain attached to the underlying tissue, preserving the sensation. The ability to breastfeed may also be preserved, but this cannot be guaranteed. Liposuction may also be used to improve the contour of the breast near the armpit and side of the chest.
There are many variations to the design of the incisions for breast reduction. The size and shape of your breasts as well as the desired amount of reduction are factors that will help Dr. Minniti determine the best technique for you.